APPENDIX 17 B

BANK CERTIFICATE OF EXPORT REALISATION/ DEEMED EXPORTS FOR STATUS CERTIFICATE

To ______________________( Name and Address of the Licencing Authority)

We________________________(Name and Address of the Exporter) declare that we have forwarded export bills/ banking instruments to ____________(Name and Address of the Bank, Branch, City) for collection/ negotiation/ purchase. The proceeds against these documents/ instruments for exports/ deemed exports for the financial year ending *_________ amounts to Rs.__________________( figures and words rounded off to nearest lakh).

We further declare the aforesaid particulars are correct to the best of our knowledge & belief.

	Date_____________		Signature of exporter______________
	Place_______________		Name_______________________________
					Designation________________________
					Full Address_______________________
					_______________________

BANK’S CERTIFICATE

Authorised Foreign Exchange Dealer

Code No allotted to the bank_by RBI vide the following details:

RBI__________________
Ref No:______________
Date:_________________
Place:_________________

This is to certify that we have verified the relevant export invoices, customs attested EP copy of the shipping bill ad other relevant documents of M/s _______________________________and the exports/ deemed export proceeds declared by the exporter amounting to Rs ___________lakhs (in figures and words) for the year ____________ are found to be correct.

____________________
(Signature of bankers)


______________________
( Full Address of Bankers)

Branch and City______________
Official Stamp________________

Note: 1) * FOB/ FOR actually realised for the concerned financial year to be given in all cases. The year shall be the second year of exports while considering the three year period referred to for claim of status.

2) The exporter shall submit a certificate from each of the his bank branches where he is holding an account where export/ deemed export proceeds are deposited/ collected.

3) This is not applicable for service exports.

(Above Appendix 17B has been added vide PN No. 53/2002-07, Dt. 31/12/2002)